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Task Hazard Assessment <br /> alCOM Delve ed. <br /> Employees: <br /> STOP WORK if uncertain about safety or if a hazard or For a more thorough identification of W.r Hierarchy Of Controls <br /> additional precaution is not recorded on the THA. hazards, ask"What else could go "° ` <br /> Phyafcelly remove <br /> wron ?" usin the Hazard Cate ories �thehe.rd <br /> Be alert, recognize and communicate any changes inc _ <br /> scope, personnel or conditions at the worksite to the a• SubstitudonReps <br /> -�tr,e�­d <br /> supervisor. <br /> Engineering I <br /> I I t people <br /> Use AECOM's last minute risk assessmentcontrols <br /> t�m<neh.:a,e <br /> process continuously throughout the day by asking <br /> yourself and your co-workers to assess your task, <br /> hazards, and mitigations. Amend the THA when 9■ I M <br /> P.—I.worker-I <br /> needed. ` IPxs 1Pmxe m.Egvlpment <br /> What am I about to do? <br /> What can go wrong? Most hazards need more than one control <br /> a. <br /> What can be done to make it safer? 7 'd What should you do? Stack your controls <br /> What have 1 done to communicate the hazards? PPE can NEVER be your only means of protection <br /> Worker Sign On . . <br /> I participated in the on-site review and fully understand the content of this Task Hazard Assessment. Visitors review task hazards and acknowledge understanding <br /> Printed Name Signature <br /> 1. Supervisor: 1. <br /> 2. 2. <br /> 3. 3. <br /> 4. 4. <br /> 5. 5. <br /> 6. 6. <br /> 7. 7. <br /> 8. 8. <br /> 9. 9. <br /> 10. 10. <br /> Submit a new THA for addition to the DCSA THA Library or send THA improvement suggestions to DCSA.THA.Library(aD_AECOM.com <br /> Include a copy of the new THA or a photo of the THA modifications as appropriate. <br /> DCSA Task Hazard Assessment Form <br /> Version 1—October 22,2018 3 of 3 <br />